Collections - Insurance

TANYR Healthcare LLC

1550 Norwood Drive Ste 300

Hurst, TX 76054

(817) 510-6735 www.TANYRhealthcare.com

Job Title: Collections - Insurance Job Category: Reimbursement

Location: Remote

Position Type: Full Time

Role and Responsibilities

 Ensure daily accomplishments work towards company goals for cash collections and Accounts Receivable over 90 days

 Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy, and ethical billing and collection practices

 Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collection.

 Research assigned correspondence; take necessary action to resolve requested information in a timely manner; establish appropriate follow-up

 Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 paper and electronic 837p

 Utilize the most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions

 Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel

 Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments, and unpaid claims and resolve accordingly, communicating any needed system changes

 Review residual account balances after payments are applied and generate necessary adjustments (within eligible guidelines), overpayment notifications, refund requests, and secondary billing

 Interact professionally by phone with third-party payors

 Communicate consistently and professionally with other TANYR employees

 Work within specified deadlines and stressful situations

 Work overtime when necessary to meet department goals and objectives

Qualifications and Education Requirements

 High School Diploma/GED or equivalent required; some college preferred

 Minimum 1-year experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement; home infusion experience preferred

 Working knowledge of automated billing systems; experience with CPR /CareTend preferred

 Working knowledge and application of metric measurements, basic accounting practices, ICD-10, CPT, and HCPCS coding

 Solid Microsoft Office skills required, including Word, Excel, and Outlook

 Ability to type 40 wpm and proficiency with 10-key

 Ability to independently obtain and interpret information

 Strong verbal and written communication skills